| NPI | 1164068227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAGNESH JITENDRA PATEL Employee 586-871-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2021-01-21 |